Articles:
Our experts offer advice, resources and share the pulse of our industry.
The Devil Is in the Details
Publication: For the Record Intersect Healthcare experts explain why optimal revenue cycles demand that staff understand payer contracts. The fact that revenue cycle...
A Constipated Appeals System Seeks Relief
Publication: For the Record "The alternative processes may be better choices for providers with disputed claims that fall well within gray areas or that have financial...
Anthem Blue Cross to pay California $2.8M to correct how it handles complaints
SACRAMENTO — Officials say Anthem Blue Cross will pay $2.8 million to the state as part of a settlement over allegations that the insurer failed to address issues with...
Hitting the mark: Defend against IRF audits and denials with coding and documentation improvements
Publication: HCPro - NAHRI Journal Correct documentation and coding are key to correct reimbursement, but according to the Officeof Inspector General (OIG),...
Seven strategies to build an effective appeal process
Publication: ACDISFacility appeal writers must craft piles of appeals, with virtually no time to investigate the accuracy of payer denials. However, understanding the...
How to Battle Coding Denial Trends: Creating a Proactive Appeal Strategy
Publication: Journal of AHIMA As healthcare moves toward value-based payment, what trends are you seeing in coding denials and what strategies are most effective for...
Appealing Clinical Validation Denials in the Era of Sepsis-3
by Denise Wilson MS, RN, RRT, Vice President of Clinical Audit and Appeal Services, Intersect HealthcareReproduced with permission of ICD10 MonitorDenise Wilson MS, RN,...
Looking to 2019: Our Experts Weigh In
by Dawn Crump, Senior Director, Revenue Cycle and Denial Management Solutions, Intersect Healthcare Reproduced with permission of RCM Answers Dawn Crump Senior...
Day 11: Our Experts are Piping Up About Next Year
Publication: Answers Media Network - HITECH Answers "Its been 10 years since the Recovery Audit Contractors rocked hospital providers world with a record number of...
Talking Payer Denials and Appeals on HealthcareNOW Radio
Earlier this month, Brian McGraw had the opportunity to talk with the host of InterviewsNOW, Shereese Maynard, from HealthcareNOW Radio about payer denials and appeals....
Provider Provisions under Managed Care Contracts—What CFOs Need to Know
Publication: Answers Media Network - RCM Answers Managed care contractual provisions affect payment, departmental organization, billing procedures and confidential...
Note from the speaker: Denial prevention strategies at the 2018 Revenue Integrity Symposium
It’s nearly time to head back to the National Association of Healthcare Revenue Integrity’s (NAHRI) 2018 Revenue Integrity Symposium (RIS), and I couldn’t be more...
Pack your bags and meet us at RIS
Tracey Tomak, PMP, RHIA, the director of project management and client engagement at Intersect Healthcare, was quoted in this article. For the full journal and original...